AT Assessment. Different Models of Assessment Clinical Workplace Remote Self Mini.

AT Assessment

Different Models of Assessment

• Clinical

• Workplace

• Remote

• Self

• Mini

What are the traditional models of delivery?• Multi-disciplinary• Inter-disciplinary • Professional Intervention

– At clinic– Home/site visit

• Limitations:• Cost• Demand• Intensity• Legacy?

While watching video footage, keep in mind these values and key elements:

• Assessments are user-led, not technology led• Discard preconceptions and don’t assume• Listen/Observe/Respond• Shape and Plan Time• Allow user time to experiment and compare options• Observe/Listen/Adjust• Conclude• Discuss openly• Document

Video footage:

AT Assessment: Listen/Observe/Respond

The Assessment Report:• Details the entire assessment

• Needed by professionals to effect recommendations

• Helps individuals remember what was said

• Helps secure funding

• Finishes and summarises process

Assessment• Assessments are user-led, not technology led• Discard preconceptions and don’t assume• Listen/Observe/Respond• Shape and Plan Time• Allow user time to experiment and compare options• Observe/Listen/Adjust• Conclude• Discuss openly• Document

• Follow up?

Workplace Assessment

Observation Materials

This Activity

• Review notes on Office Sense• Click on Videos to watch them • Watch The Video• Review the best practice on Office sense• Watch Video again and comment on

observations• Discuss• Lets Meet Bill

Let’s Meet Bill

55 years oldRight handed15 years this jobThree days per week office, 90% desk/computer: two days travelling, no computer use.No relevant health history“Back ache” started three months ago, getting gradually worse: Reported on self-assessment.In “conversation”, said shoulders ache in afternoon: especially right shoulder and into neck on the right side.Thinks no problem in hands.Loves the job.

Bill Video 1

Office Sense

• Lets look at the Desk Layout

• Lets Look at the Monitor

• Lets Look at the Mouse

Issues and Thoughts

• Corner• Lean forward, back off chair back• Chair arms hit desk• Mouse way right• Chin up … effect of vari-focal specs• Screen theoretically low … but note

effect of vari-focals/chin-up if screen went higher

Bill 2 – straight, but….?

Office Sense• Lets look at Managing Paper

• Lets look again at the Desk Layout

• Lets look again at Screen Position

Issues and Thoughts

• Document down and to the left: effect on neck/shoulders

• Looking down to keyboard – not touch-typist• Chin up to screen• Mouse way right … wrist cocked• Rubbing shoulder• Rubbing hand• Elbow hitting chair arm = awkwardness

Bill 3

• Lets Look again at Keyboards and Typing

• Lets Look again at Managing Paper

• How do we use that mouse or trackball

Office Sense

• Lifting elbow and shoulder to avoid chair arm

• Pulling chair forward

• Arched wrist on track ball and sometimes wrist rested on wood desk

Further Observations

• We will look at video of Ruth at work

• But this time no links to the CD !

• You’re on your own !!!

• Lets Meet Ruth

Activity 2 – Lets Meet Ruth

Ruth• 33 years old - Right handed - Three years this job• Back pain. Realises she has “put up with it” for a year or two.• Three weeks ago pain started in right wrist. Doctor suggested

Thursday/Friday rest plus weekend and ibuprofen (pain killer / anti-inflammatory): pain again as soon as work re-started.

• In “conversation” rubbed base of right thumb when referring to wrist pain . . and in answer to question said yes there was some discomfort in the left wrist too.

• Loves the job.

Ruth 1

Observations• Low seat, low elbows, hands/wrists up and over,

wrists bent a bit• Feet on floor (but makes seat low)• Touch-typist• Right thumb always on space bar• Left thumb held cocked (habit)• Soft touch style, does not over-hit• Right thumb on primary mouse button

Ruth after Review